| NPI | 1710612486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLIE GUDE President 630-636-1809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-08-29 |